Registration Form

Registration Form
East Hampton Lions Club 7th Annual Dog Show
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Dog Name
Breed/Mix
Age/Sex

My Products

Dog Show RegistrationDog Show Registration

$40.00 Quantity

Total

$0.00

Credit Card

Registration is $40 per dog. Fee is due upon registration and is non-refundale.

East Hampton Lions Club

Waiver and particiapation release:

BY SIGNING BELOW, I AGREE AND UNDERSTAND THAT EAST HAMPTON LIONS CLUB, THEIR AFFILATES OR ASSIGNS, SHALL NOT BECOME LIABLE OR RESPONSIBLE FOR LOSS, INJURY, OR DAMAGES TO PERSON OR PET ARISING OUT OF OR IN CONNECTION WITH EAST HAMPTON LIONS CLUB 5TH ANNUAL DOG SHOW FUNDRAISER. I UNDERSTAND THAT EAST HAMPTON LIONS CLUB RESERVES THE RIGHT TO ASK FOR REMOVAL OF ANY DOG FOR UNRULY BEHAVIOR. I HAVE ALSO READ, UNDERSTAND AND AGREE TO COMPLY WITH THE RULES AND REGULATIONS SET FORTH BY EAST HAMPTON LIONS CLUB.

I HERE BY GIVE CONSENT FOR {dogName} TO PARTICIPATE IN THE EAST HAMPTON LIONS CLUB 6TH ANNUAL HAMPTONS DOG SHOW ON AUGUST 3rd, 2024. I AGREE AND UNDERSTAND THAT ANY PHOTOGRAPHS TAKEN WHILE ATTENDING THE EVENT MAY BE USED FOR MARKETING AND PROMOTIONAL PUROPSES. I ALSO WARRANT AND GUARANTEE THAT I AM THE OWNER OF {dogName} AND AM LEGALLY ENTITLED TO GIVE SUCH PERMISSION. I HAVE READ AND AGREE TO ALL DOG SHOW PARK RULES AND REGULATIONS.
Signature of Owner

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Signature of Parent/Guardian (if under 18)

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